Individual
DR. JORDANA JACOBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
515 MADISON AVE FL 21, NEW YORK, NY 10022-5433
(929) 445-2221
Mailing address
515 MADISON AVE FL 21, NEW YORK, NY 10022-5433
(929) 441-2229
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
022795
NY
Other
Enumeration date
09/07/2018
Last updated
07/15/2019
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